(USA) Senior Manager II, Billing & Revenue Cycle Management - Medical

Bentonville, Arkansas

Position Summary...

What you'll do...

Manages and identifies trends in complex business financials by

  • evaluating capital projects, contractual arrangements, and business development opportunities
  • developing solutions and recommendations
  • defining financial reports
  • analyzing current data
  • constructing financial models and conducting financial analyses of business performance
  • defining future budgets, forecasts, and appropriate action plans to correct below target results or current and future financial goals and initiatives

Partners with senior management to plan and analyze business performance by
  • collaborating with internal and external key stakeholders for relevant information
  • identifying gaps between business goals and stated corporate objectives
  • communicating and presenting immediate and future projections, results, risks, and needs to various levels of leadership
  • providing feedback to senior management regarding assumed level of risk
  • supporting business unit budget process and strategic business plans
  • providing insight on relevant historical trends, expected future events, and retail trends.

Serves as subject matter expert by
  • educating internal teams about bill review process and system changes
  • providing supporting information and education related to litigation of bill review to defense attorneys
  • analyzing bill review litigation trends with adjusting teams legal department to develop solutions for implementation
  • collaborating with third party administrators to improve processes
  • drafting letters and explaining review statements for multiple states
  • educating team and vendor processors on pre-litigation best practices
  • participating and leading special projects to enhance bill payment processes.

Manages customer service and vendor call centers by
  • reviewing reports on call time averages to make sure calls are being processed according to company policies and procedures
  • ensuring timely responses to inquiries regarding pharmacy and medical billing from internal and external stakeholders
  • identifying and resolving global trends on escalated issues (for example, unprocessed hospital bill complaints)
  • establishing and maintaining relationships with customers, colleagues, and vendors
  • communicating with and educating customers on services provided and savings potential
  • conducting team meetings to discuss business practices and educate associates
  • attending team meetings to build relationships, open lines of communication, and understand the impact on each department.

Oversees the continuous improvement of operational and system processes for government and commercial billing by
  • conducting program evaluations
  • assessing past, current, and future parameters of programs
  • assessing audit requests, billing requirements, reimbursements, and formulary guidelines
  • engaging all required stakeholders
  • defining the appropriate action plan
  • following up with stakeholders to ensure accuracy and completeness in the billing process.

Drives the execution of multiple business plans and projects by
  • identifying customer and operational needs
  • developing and communicating business plans and priorities
  • removing barriers and obstacles that impact performance
  • providing resources
  • identifying performance standards
  • measuring progress and adjusting performance accordingly
  • developing contingency plans
  • demonstrating adaptability and supporting continuous learning.

Provides supervision and development opportunities for associates by
  • selecting and training
  • mentoring
  • assigning duties
  • building a team-based work environment
  • establishing performance expectations and conducting regular performance evaluations
  • providing recognition and rewards
  • coaching for success and improvement
  • ensuring diversity awareness.

Promotes and supports company policies, procedures, mission, values, and standards of ethics and integrity by
  • training and providing direction to others in their use and application
  • ensuring compliance with them
  • utilizing and supporting the Open Door Policy.

Ensures business needs are being met by
  • evaluating the ongoing effectiveness of current plans, programs, and initiatives
  • consulting with business partners, managers, co-workers, or other key stakeholders
  • soliciting, evaluating, and applying suggestions for improving efficiency and cost-effectiveness
  • participating in and supporting community outreach events.


Live our Values

Culture Champion
  • Models the Walmart values to foster our culture; holds oneself and others accountable; and supports Walmart's commitment to communities, social justice, corporate social responsibility, and sustainability; maintains and promotes the highest standards of integrity, ethics and compliance.

Servant Leadership
  • Acts as an altruistic servant leader and is consistently humble, self-aware, honest, and transparent.

Embrace Change

Curiosity & Courage
  • Demonstrates curiosity and a growth mindset; fosters an environment that supports learning, innovation, and intelligent risk-taking; and exhibits resilience in the face of setbacks.

Digital Transformation & Change
  • Seeks and implements continuous improvements and encourages the team to leverage new digital tools and ways of working.

Deliver for the Customer

Customer Focus
  • Delivers expected business results while putting the customer first and consistently applying an omni-merchant mindset and the EDLP and EDLC business models to all plans.

Strategic Thinking
  • Adopts a holistic perspective that considers data, analytics, customer insights, and different parts of the business when making plans and shaping the team's strategy.

Focus on our Associates

Diversity, Equity & Inclusion
  • Identifies, attracts, and retains diverse and inclusive team members; builds a high-performing team; embraces diversity in all its forms; and actively supports diversity goal programs.

Collaboration & Influence
  • Builds strong and trusting relationships with team members and business partners; works collaboratively and cross-functionally to achieve objectives; and communicates with energy and positivity to motivate, influence, and inspire commitment and action.

Talent Management
  • Creates a discipline and focus around developing talent, promotes an environment allowing everyone to bring their best selves to work, empowers associates and partners to act in the best interest of the customer and company, and regularly recognizes others' contributions and accomplishments.

Minimum Qualifications...

Outlined below are the required minimum qualifications for this position. If none are listed, there are no minimum qualifications.

Minimum Qualifications: Bachelor's degree in Business Management, Accounting, Project Management, Healthcare Management , or related field and 4 years' experience in insurance claims, accounting, or related area OR 6 years' experience in insurance claims, accounting, or related area. 1 year's supervisory experience.

Preferred Qualifications...

Outlined below are the optional preferred qualifications for this position. If none are listed, there are no preferred qualifications.

Working on cross-functional teams or projects

Masters: Business Administration

Primary Location...
2608 Se J St, BENTONVILLE, AR 72712, United States of America

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